January 23, 2015
FFM Alert for Agents and Brokers: CoOportunity Health in Iowa and Nebraska
As you may be aware, at the request of Iowa and Nebraska insurance officials, CoOportunity Health is no longer accepting new customers and has been removed from the federal Marketplace in Iowa and Nebraska. An order to liquidate the company is expected to take effect on February 28, 2015. CMS' first priority is to make sure that existing enrollees remain covered in a health plan and we are working closely with state officials to make sure that consumers have access to information about their coverage options.
Consumers in the Individual Marketplace: As you assist individuals, please be aware that a consumer who was a CoOportunity Health policyholder during 2014 and made no election or changes prior to December 15, 2014, would have been auto-enrolled and currently continues to be covered with CoOportunity Health. Consumers may select a new plan during the remaining open enrollment which ends on February 15, 2015, to have an effective date of March 1, 2015, or consumers may select a new plan during the 60-day Special Enrollment period, which begins on the effective date of the liquidation. Enrollees receiving advance premium tax credits to help pay for their insurance, need to find other coverage by March 1, 2015. After March 1st, CoOportunity will no longer be a qualified health plan and advanced premium tax credits and cost sharing subsidies to CoOportunity enrollees will stop.
Employers in FF-SHOP: Employers with coverage in the group market need to work with their agent to obtain other coverage as soon as possible. Upon liquidation, groups will have 30-45 days to secure coverage.
To change plans: Plan changes must be made through the Marketplace Call Center after February 15, 2015.Agents/brokers can call the Marketplace Call Center at 1-800-318-2596 (TTY: 1-855-889-4325).
For additional information: Please see the General Information and FAQs posted on the Iowa Insurance Division website (Welcome to IID | Iowa Insurance Division
) and the Nebraska Departments website (Nebraska Department of Insurance